ASN to Launch Centers of Excellence in Home Dialysis Pilot Program

The American Society of Nephrology (ASN) announced that it will create a Centers of Excellence in Home Dialysis pilot program to recognize healthcare organizations meeting or exceeding national standards and guidelines for home dialysis care. The program is intended to increase access to home dialysis, strengthen home dialysis programs, and improve patient outcomes.

“Through this ASN program, designated facilities can serve as a model for home dialysis care and demonstrate their commitment to ensuring choice of modality treatment for all people with kidney diseases,” Edward Gould, MD, co-chair of the ASN Home Dialysis Steering Committee and chair of the Centers for Excellence in Home Dialysis Workgroup, said in a statement. “By setting criteria for programs to be considered excellent, clinicians and organizations can strive for excellence and those with the award can become recognized as regional leaders in home dialysis, serving as a resource to other home dialysis clinicians and programs.”

At the start of the Medicare End-Stage Renal Disease (ESRD) Program in 1973, more than 40% of patients receiving dialysis did so in a home setting. That percentage had dropped to 13.1% by 2019, although the number of US patients receiving dialysis had grown from about 11,000 to 566,614.

Currently, about 14.5% of US patients receive dialysis at home. Despite the modest increase, barriers to home dialysis remain, including fear, lack of awareness, lack of infrastructure, lack of workforce training, and staff shortages.

Source: American Society of Nephrology. Accessed April 29, 2025. https://www.asn-online.org/about/press/releases/ASN_PR_20250428_pcehd4.28.25FINAL.pdf